Dr. Nathan Lucas Bomm is a Eagan, Minnesota based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Nathan Lucas Bomm is
D14815 for Dentistry in Minnesota. His current practice location is
3405 Promenade Ave Ste 300, Eagan. Patients can reach him at
651-236-7458.
Dr. Nathan Lucas Bomm is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Nathan Lucas Bomm speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Nathan Lucas Bomm |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3405 Promenade Ave Ste 300, Eagan,
Minnesota, 55123-4420 |
| Phone: | 651-236-7458 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1376257881 |
| NPI Enumeration Date: | 09 Jan, 2023 |
| NPI Last Update On: | 09 Jan, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nathan Lucas Bomm are as mentioned below.
| License Number | Specialization | State | Status | |
| D14815 | Dentistry | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Nathan Lucas Bomm such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| D14815 | Other | Minnesota | STATE OF MINNESOTA BOARD OF DENTISTRY |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2813 4th St Se Unit 620,
Minneapolis, Minnesota |
| Zip: | 55414-3013 |
| Phone Number: | 262-225-7291 |
Patients can reach Dr. Nathan Lucas Bomm at
3405 Promenade Ave Ste 300, Eagan, Minnesota or can
call to book an appointment on 651-236-7458.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.